Stacie Ann Benkula, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

68125 Issued in ID

Practice address

857 Polk St
Twin Falls, ID 83301-4095

Phone

(208) 731-9404

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walking E Family Practice PLLCGroup PAC ID 0244778777, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacie.benkula@765192619229188.direct.elationemr.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walking E Family Practice PLLC

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1710738968

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Magic Valley Family Practice, PLLC

  • Primary Care Clinic/Center
  • Twin Falls, ID
  • NPI 1528251519

  Multi-Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Luke'S Magic Valley Regional Medical Center, LTD.

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1174116180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 POLK ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014095",
            "telephone_number": "208-731-9404",
            "fax_number": "208-213-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 POLK ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014095",
            "telephone_number": "208-731-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKULA",
        "first_name": "STACIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2024-07-18",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "32305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "68125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bell, NP
• Jennifer Marie Benally, PMHNP-C
• Sarah Bender, L.P.C.
• Abelardo Benitez
• Donna Lynn Benjamin, PSY.D., LCSW
• Jane Ann Bennett-Munro, MD
• Matthew George Bennett, LMSW
• Natasha Bennett, PHARM D
• Sabrina L Bennett
• Bryce William Bennion, RPH

• Family Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.